Crichton Paul, Carel Havi, Kidd Ian James
Ministry of Justice, London, UK.
University of Bristol.
BJPsych Bull. 2017 Apr;41(2):65-70. doi: 10.1192/pb.bp.115.050682.
It has been argued that those who suffer from medical conditions are more vulnerable to epistemic injustice (a harm done to a person in their capacity as an epistemic subject) than healthy people. This editorial claims that people with mental disorders are even more vulnerable to epistemic injustice than those with somatic illnesses. Two kinds of contributory factors are outlined, global and specific. Some suggestions are made to counteract the effects of these factors, for instance, we suggest that physicians should participate in groups where the subjective experience of patients is explored, and learn to become more aware of their own unconscious prejudices towards psychiatric patients.
有人认为,患有疾病的人比健康人更容易遭受认知不公正(对作为认知主体的人的一种伤害)。这篇社论声称,患有精神障碍的人比患有躯体疾病的人更容易遭受认知不公正。文中概述了两类促成因素,即全局性因素和特定性因素。还提出了一些建议来抵消这些因素的影响,例如,我们建议医生应参加探讨患者主观体验的小组,并学会更加意识到自己对精神科患者的无意识偏见。